Examining the Comparative Incidence and Costs of Physical and Mental Health-Related Disabilities in an Employed Population
Examining the Comparative Incidence and Costs of Physical and Mental Health-Related Disabilities in an Employed Population
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DOI：
10.1097/jom.0b013e3181e8cfb5
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发表时间：
2010-07-01
影响因子：
3.2
通讯作者：
Dermer, Stanley
中科院分区：
文献类型：
--
作者：
Dewa, Carolyn S.;Chau, Nancy;Dermer, Stanley
目的：通过回答以下问题，解决残疾率和短期残疾费用方面的知识差距：（1）与精神障碍有关的短期残疾事件的发生率和费用是多少？及（2）这些数字与因身体失调而引致的短期伤残个案的数字比较如何？方法：数据集来自加拿大一家资源部门公司2003 - 2006年的短期残疾假和人力资源数据集。多年数据集包括所有非季节性员工的33，913条记录。这项研究的重点是2003年、2004年或2005年开始的所有事件。共有12，407名员工。结果：总体残疾率为14.5次/100人年。残疾事件的前五大主要类别为呼吸系统疾病（2.3/100人-年）、肌肉骨骼疾病（1.9/100人-年）、精神/行为障碍（2.1/100人-年）、损伤（2.0/100人-年）和消化系统疾病（1.3/100人-年）。平均残疾发作时间为33天，平均费用为9027美元/发作。最高的发作成本与精神/行为障碍相关的发作（18，000美元/发作）相关，最低的成本是呼吸系统疾病（3000美元/发作）。结论：结果强调，虽然与精神/行为障碍有关的残疾可能不占病例的最大比例，但它们代表了最大的成本。
Objective: To address gaps in knowledge about disability rates and costs of short-term disability by answering the following questions: (1) what is the incidence and the costs of short-term disability episodes related to mental disorders? and (2) how do these figures compare with those of short-term disability episodes related to physical disorders? Methods: The data set comes from a Canadian resource sector company's 2003-2006 short-term disability leave and human resource data sets. The multi-year data set consists of 33,913 records for all nonseasonal employees. The study focused on all episodes that began in 2003, 2004, or 2005. There are 12,407 unique employees represented. Results: The overall disability rate was 14.5 episodes/100 person-years. The top five primary categories of disability episodes were respiratory disorder (2.3/100 person-years), musculoskeletal disorder (1.9/100 person-years), mental/behavioral disorder (2.1/100 person-years), injury (2.0/100 person-years), and digestive disorder (1.3/100 person-years). The mean disability episode was 33 days, and the mean cost was $9027/episode. Highest episode costs were associated with mental/behavioral disorder-related episodes ($18,000/episode), and the lowest costs were for respiratory disorders ($3000/episode). Conclusions: The results underscore that although disability related to mental/behavioral disorders may not comprise the largest proportion of cases, they represent the largest costs.